Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.88 / $52.85 / $186.83	Facility		$29.88	$52.85	$186.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.15 / $32.22 / $54.48	Professional		$27.15	$32.22	$54.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.29 / $29.29 / $29.29	Professional		$29.29	$29.29	$29.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $29.59 / $54.48 / $77.91	Facility		$29.59	$54.48	$77.91
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $29.29 / $29.29 / $58.58	Professional		$29.29	$29.29	$58.58
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.58 / $50.92 / $80.01	Facility		$42.58	$50.92	$80.01
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.36 / $43.64 / $43.64	Professional		$36.36	$43.64	$43.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $29.29 / $54.48 / $77.91	Facility		$29.29	$54.48	$77.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $29.29 / $33.89 / $42.37	Professional		$29.29	$33.89	$42.37
United Facility/Professional Professional Modifier Low / Median / High Price $31.05 / $43.94 / $87.87	Professional		$31.05	$43.94	$87.87